OrganizationActive
Lafayette Foot and Ankle Clinic
NPI 1003099441 · Primary Podiatric Medicine Podiatrist · Fort Wayne, IN
Provider details
- NPI number
- 1003099441
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Benny Fair, Owner
- License
- 07000728 (IN)
Practice location
2700 Lafayette St Ste 230
Fort Wayne, IN 46806-1100
Phone: (260) 458-9953
Fax: (260) 458-9238
Mailing address
2700 Lafayette St Ste 230
Fort Wayne, IN 46806-1100
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.